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Organization
HG ORTHOPEDICS
Active
Organization
HG ORTHOPEDICS
Active
Other names
APEX ORTHO SPINE
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BEATTY (MANAGER)
(772) 262-0852
Entity
Organization
Contact information
Practice address
266 NW PEACOCK BLVD STE 204, PORT ST LUCIE, FL 34986-2271
(772) 262-0852
(772) 245-4235
Mailing address
266 NW PEACOCK BLVD STE 204, PORT ST LUCIE, FL 34986-2271
(772) 262-0852
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821080946
TYPE 1 NPI
FL
Enumeration date
11/30/2021
Last updated
03/29/2024
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